ABSTRACT
Background: Compelling evidence has shown that motor vehicle accidents have an enormous impact on mental health. Post-traumatic Stress Disorder [PTSD] is one of the most common psychological consequences in adult survivors of accidents, so it is important to understand the prevalence and predictors of this issue since delay causes damage to crucial daily functioning. This study aimed at investigating the prevalence and predictors of PTSD after motor vehicle accident
Methods: This cross-sectional study was conducted on 528 injured patients six weeks to six months after motor vehicle accident in Imam Reza Clinic of Poursina hospital, Rasht in 2015. Data collection tools were three questionnaires including post-traumatic stress-self report [PSS], Beck Depression Inventory [BDI-II], and the Numeric Rating Scale [NRS] for pain. The data were analyzed in SPSS [Version 19] using Chi-square, Fischer's exact test and multivariate logistic regression. Significance level was considered P
Results: The prevalence of PTSD and depression was 30.49% and 19.89% in participants, respectively. Chi-square test indicated a significant relationship among age [P=0.02], sex [P<0.001], education level [P<0.001], work status [P<0.001] and PTSD. Participants who reported pain [P<0.001] and depression [P<0.001] were more likely to have high score of PTSD than the others. Multivariate logistic regression showed this significance in sex, depression, age, educational status and pain, as constant risk factors in developing PTSD after accident
Conclusion: This study suggests that primary care setting should be readily prompted for diagnosis of these disorders in non-treatment seeking individuals in the community
ABSTRACT
Objective: To assess the psycho-social and mental variables associated with post-traumatic stress disorder [PTSD] in a series of Iranian patients
Methods: A total of 528 eligible accident survivors in pre-sampling of a randomized controlled trial targeting PTSD were included in this cross-sectional study. Psycho-social characteristics associated to PTSD were explored in these survivors in an outpatient clinic. They completed the questionnaires via interview between six weeks to six months after accident. Data collection tools were PSS [DSM-V version] for PTSD and BDI-II for depression and a researcher-made questionnaire for psycho-social variables
Results: There was a significant association between PTSD and the following variables; family communication, current depression, return to work, history of death of relatives, witnessed the death, length of amnesia, hospitalization, injured situation, and accident severity. Multivariate logistic regression indicated that some variables were associated with PTSD such as accident severity, [p<0.001], injured situation, [p<0.001], current depression, [p<0.001], RTW [p<0.001], and family communication [p=0.01]
Conclusion: Psychiatric nursing prevention efforts is best directed toward motorcycle depressed drivers with severe accident and poor family communication who do not return to work. Thus, routine assessment of PTSD, depression and psycho-social variables after traffic accidents must be taken into account